经翼点入路微创治疗眼动脉段动脉瘤的效果分析

Application of minimally invasive treatment of ophthalmic artery aneurysms via pterional approach

目的探讨翼点入路微创手术治疗眼动脉段动脉瘤(OAA)的临床效果。方法回顾性分析四川省医学科学院·四川省人民医院神经外科自2016年3月至2017年12月收治的22例颈内动脉OAA患者的临床资料,经翼点入路开颅行动脉瘤夹闭术,观察患者术后14 d的GOS预后分级、手术治疗效果及并发症发生情况。结果对于手术时机的选择,起病后3 d内进行手术治疗的患者占比较高,约59.09%。22例患者中有19例的GOS评分分级为治愈,术后治愈率为86.36%,且仅2例患者术后视力较前无明显改善,余未见明显术后并发症,并发症发生率为9.09%。结论经翼点入路手术治疗OAA具有开颅创伤小、术后恢复好的优点,值得推广应用。

Objective To investigate the therapeutic effect of pterional approach minimally invasive surger in the treatment of internal ophthalmic artery aneurysms(OAAs).Methods Retrospectively analyzed the clinical data of 22 cases with internal carotid artery OAA in our hospital from March 2016 to December 2017.The aneurysm clipping was performed through the pterional approach.The GOS score of 14 d after operation,the effect of operation and complications were observed.Results From the choice of operation time,the incidence of operation within 3 d was high,accounting for 59.09%.Among the 22 patients,19 patients were cured according to GOS score,and the postoperative cure rate was 86.36%.Only 2 patients had no significant improvement in visual acuity compared with before,and the other patients had no obvious postoperative complications.The incidence of complications was 0.09%.Conclusion For OAA,the pterional approach has the advantages of small craniotomy trauma and good postoperative recovery,which is worthy of popularization and application.